A Dose-Ranging Study to Determine the Efficacy, Safety and Tolerability of AeroFact
Purpose
The purpose of this two-part Phase 2 study is to assess the safety, tolerability and efficacy of aerosolized SF-RI 1 (AeroFact) when delivered via nCPAP at two different doses.
Condition
- Respiratory Distress Syndrome in Premature Infant
 
Eligibility
- Eligible Ages
 - Between 26 Weeks and 31 Weeks
 - Eligible Sex
 - All
 - Accepts Healthy Volunteers
 - No
 
Inclusion Criteria
- Parental consent obtained prior to study procedures being performed (pre-natal consent is allowed) 2. 26 0/7 to 30 6/7 weeks of gestational age 3. Weight <2.0 Kg 4. Respiratory Severity Score (RSS) 1.4-2.0
 
Exclusion Criteria
- Apgar score less than or equal to 5 at five minutes after birth 2. Need for chest compressions or administration of epinephrine or bicarbonate in the delivery room 3. Premature rupture of membranes (PROM) > 14 days 4. Need for intubation and/or mechanical ventilation prior to enrollment 5. Active pneumothorax requiring chest tube 6. Significant congenital anomaly, chromosomal abnormality 7. Concomitant treatments with inhaled nitric oxide
 
Study Design
- Phase
 - Phase 2
 - Study Type
 - Interventional
 - Allocation
 - Randomized
 - Intervention Model
 - Parallel Assignment
 - Intervention Model Description
 - Partially Blinded, Randomized, Parallel-Group Dose Ranging
 - Primary Purpose
 - Treatment
 - Masking
 - Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
 - Masking Description
 - Masking within active arms
 
Arm Groups
| Arm | Description | Assigned Intervention | 
|---|---|---|
| 
                        Other nCPAP alone  | 
                    Standard of Care (nasal continuous positive airway pressure-nCPAP) with instilled bolus surfactant when medically necessary | 
                                                
  | 
                
| 
                        Experimental Drug: Low Dose AeroFact  | 
                    AeroFact-low dose SF-RI 1 | 
                                                
  | 
                
| 
                        Experimental Drug: High Dose AeroFact  | 
                    AeroFact-high dose SF-RI 1 | 
                                                
  | 
                
Recruiting Locations
More Details
- NCT ID
 - NCT03969992
 - Status
 - Completed
 - Sponsor
 - Aerogen Pharma Limited
 
Detailed Description
Part I Primary Objective To determine an optimal dose of AeroFact administered by nasal continuous positive airway pressure (nCPAP) versus stand of care in reducing the rate of intubation/cannulation and bolus surfactant instillation in the first 7 days after birth. Part II Primary Objective To evaluate pulmonary outcomes and respiratory utilization at 3, 6, 9, and 12 months post-menstrual age (PMA)